Over time, many of the anatomical structures of the face including bone, muscle, soft tissue, tendons, fascia, and skin become more stretched, shrunken, and descended to varying degrees. We call this process “the aging face”. Lifestyle factors (including quality of general health, nutrition, exercise, and sleep), as well as genetic factors, play an important role in determining which specific facial structures will change and to what degree at progressing life stages.
During youth, facial structures are typically well-suspended with clear, healthy skin, great projection and distribution of natural fat pockets, and absence of shadowing, wrinkles, or age spots. Unfortunately, over time, the bony structures start to shrink, tendons start to loosen, fat pads begin to deflate and or herniate forward under the skin in depressed locations, and the skin bears the brunt of wear-and-tear from the environment resulting in poor elasticity, decreased collagen, wrinkles, visible blood vessels, and discoloration.
In some people, the face can change dramatically over time from a “base up triangle” shape during youth to a “base down triangle” in the 5th decade of life or beyond. When considering which treatment option is ideal for you, we must evaluate individual factors such as general health, medications, lifestyle, desired results, and tolerable downtime. There are a host of treatment options available which vary in degree of invasiveness, duration, and depth of treatment. During your consultation, we will review all options available to meet your unique needs.
Minimally-invasive (non-surgical) procedures include skin care regimens, chemical peels, laser resurfacing, radiofrequency tightening, botulinum toxin injections, and filler injections. These interventions typically address more superficial skin-related aging changes and help decrease early deflation and descent of facial fat pads and other soft tissue structures.
A great non-surgical option to improve health and vitality of the entire face is the Radiant Eyes, Radiant Face™ Protocol
Surgical options include resuspension of descended tissues with a minimally-invasive thread lift technique versus more permanent fixation surgery such as a full-face lift. Volumization options include fat-grafting and fat-transfer techniques. Specifically, structures such as the eyebrows/forehead, eyelids, mid-face, chin, and or neck can be operated upon to achieve harmonized facial contours that are natural and youthful.
Many patients benefit from a customized treatment plan that includes a combination of the various treatment options mentioned above.